Ibraham Dababneh

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

Practice address

17355 E Via del Oro
Fountain Hills, AZ 85268-8519

Phone

(480) 694-8014

NPI assigned

Apr 20, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1255951232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17355 E VIA DEL ORO",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688519",
            "telephone_number": "480-694-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17355 E VIA DEL ORO",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688519",
            "telephone_number": "480-694-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABABNEH",
        "first_name": "IBRAHAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Crumrine, M.A., CF-SLP
• Brittany D Cukierski, PT
• Sydney Rose Czarnyszka, PHARMD
• Joseph N. D'Aniello, D.M.D.
• Madison Sean D'Haenens
• Jennifer Dahlgren, PT, DPT
• Anne M. Danahy, RDN
• Samantha Ariza Dando, RPH
• Daniel H Gilbert DDS PLLC
• Khanh Dao

• Neurorehabilitation Occupational Therapist in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Neurorehabilitation Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.